The differentiation between depressive and anxious adolescent females and controls by behavioural self-rating scales

被引:20
作者
Blom, Eva Henje [1 ,2 ]
Larsson, Jan-Olov [3 ]
Serlachius, Eva [2 ,3 ]
Ingvar, Martin [2 ]
机构
[1] Karolinska Univ Hosp, Dept Clin Neurosci, Karolinska Inst, S-17176 Stockholm, Sweden
[2] Karolinska Inst, Osher Ctr Integrat Med, S-10401 Stockholm, Sweden
[3] Karolinska Inst, Dept Woman & Child Hlth, S-10401 Stockholm, Sweden
关键词
Adolescent females; Behavioural self-rating scales; Anxiety disorders; Major depression; Differentiating cases/ non-cases; Receiver-operating characteristic curve; MULTIDIMENSIONAL ANXIETY SCALE; DIFFICULTIES QUESTIONNAIRE SDQ; QUALITY-OF-LIFE; PSYCHIATRIC-DISORDERS; PSYCHOMETRIC PROPERTIES; COHERENCE SCALE; ANTONOVSKYS SENSE; COMMUNITY SAMPLE; HOSPITAL ANXIETY; MENTAL-HEALTH;
D O I
10.1016/j.jad.2009.07.006
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background This study aimed to validate the ability of frequently used self-assessment scales in Swedish child and adolescent psychiatric practice to differentiate between adolescent girls with manifest anxiety disorders and depression from those wills less severe symptoms Methods The receiver-operating characteristic (ROC) curve was calculated for Beck's Depression Inventory (BDI), Beck's Anxiety Inventory (BAI), Hospital Anxiety and Depression Scale (HAD), the emotional subscale (SDQ-em), the impact score and the total difficulties score of the Strengths and Difficulties Questionnaire and Sense of Coherence (SOC) in a sample of 73 adolescent, female patients, diagnosed with one or several anxiety disorders and/or depression. ROC was also calculated for 66 age-matched controls Results SOC and the SDQ-em showed the best ability to differentiate cases of anxiety disorders and/ or depression from non-cases SOC and SDQ-em had an equivalent ability to differentiate depression from non-cases compared to the specialised scales for depression, BDI and HAD-dep SOC and SDQ-em were significantly better in differentiating cases of anxiety from non-cases than the specialised scales BAI and HAD-anx Selection bias and several forms to fill in can have influenced the result. Conclusions SOC and SDQ-em seemed to be valid tools for identifying girls with anxiety disorders and depression This is of clinical importance since self-reported symptoms of anxiety and depression show a major increase in adolescent girls and methods to identify those in need of treatment are needed (C) 2009 Elsevier B V All rights reserved
引用
收藏
页码:232 / 240
页数:9
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